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Posts for: June, 2018

By The Brace Place Orthodontics
June 26, 2018
Category: Dental Procedures
Tags: braces   orthodontics  

If you're seeking orthodontic treatment for your crooked smile, you're in good company. The American Association of Orthodontists says bracesone out of every five patients wearing braces is of adult age. In Jacksonville Beach, FL, Dr. Josh Goldknopf is the orthodontist who loves to treat adults for smile issues for all kinds. Read about the types of braces available at The Brace Place Orthodontics.

Why get braces?

Children, teens, and adults benefit from orthodontic correction. While very young people have the advantage of faces, mouths, and jaws which are still growing, older teens and even adults with healthy teeth and gums can get their smiles straightened, too.

Typical issues your orthodontist sees in his Jacksonville Beach, FL, office are:

  • Bite problems (overbite, cross bite, under bite, and open bite)
  • Protruding front teeth
  • Tooth tipping
  • Tooth rotation
  • Crowding due to small jaw bone size and large teeth
  • Congenital absence of teeth
  • Gaps

Kinds of braces

Today's orthodontic systems are more versatile than ever before. in his Jacksonville Beach, FL, orthodontic practice, Dr. Goldknopf offers several types, including conventional metal braces--the kind most people think of when they hear the word "orthodontist." These appliances consist of bonded on metal brackets, connecting archwires, and rubber bands. In some cases, these obvious-looking braces, restrictive of dietary choices and harder to keep clean, are the best option for the individual's smile problem.

Similar to metal braces, but more discreet in appearance, are tooth-colored or clear ceramic braces. Orthodontists recommend ceramic appliances because they look better, are smoother, and are less irritating.

Lingual braces are like metal braces, except the brackets are mounted on the tongue-side of the teeth. While no one but the patient and the dentist knows they are there, lingual braces are disadvantageous because they are more complex to keep clean.

Finally, if a patient qualifies, Dr. Goldknopf recommends Invisalign clear aligners. Smooth, removable and practically invisible, these snug acrylic aligner pairs move teeth into healthier positions in an average of 12 months. Plus, teens and adults find them easy to maintain.

What's your best treatment?

Getting a complimentary consultation at The Brace Place is the first step toward a new smile. Dr. Goldknopf will examine your teeth so you know if braces would help your particular smile issue. If they would, he'll develop a treatment plan around your oral impressions and a digital three-dimensional CAT scan of your teeth and jaw bone. In short, you'll know exactly what kind of braces would help you achieve your desired results.

Call us!

At The Brace Place, we love to make you smile. To schedule a visit, please phone us at (904) 222-8588. You have your choice of locations: our office in Jacksonville Beach and in Ponte Vedra, FL.

By The Brace Place Orthodontics
June 24, 2018
Category: Oral Health
Tags: x-rays  

Radiographic (x-ray) images are an indispensible diagnostic tool in dentistry. One of the most routine and useful types of x-rays dentists take is the so-called bitewing. Here are some things you may want to know about this common diagnostic procedure.

What are bitewing x-rays?
Bitewings reveal the presence and extent of decay in the back teeth, specifically in areas where adjacent teeth touch each other. Unlike other areas of the teeth, these contacting surfaces between adjacent teeth can’t be examined visually. Bitewings can also show areas of bone loss around teeth — a sign of periodontal disease; however, they are not taken for that purpose because bitewings will not show the complete root surface that is surrounded by bone.

Why are they called that?
The name “bitewing” refers to how the film — or sensor, in the case of a digital x-ray — is positioned in the mouth: The patient bites down on a little tab or wing that holds the apparatus in place.

How often do I need them?
This is determined on a case-by-case basis, with the goal of not exposing you to any more radiation than necessary — even the minimal amount found in a series of bitewing x-rays. Your individual susceptibility to caries (tooth decay) and personal dental history will play a major role in determining how frequently you need radiographic examination — and, for that matter, how often you need to come in for routine cleanings and exams.

Are they safe?
The safety of bitewing x-rays is best illustrated with a comparison to the regular daily radiation exposure we get every day from environmental sources, which is about 0.01 millisieverts — the unit of measure we use for radiation. A series of 4 bitewing x-rays exposes you to 0.004 millisieverts of radiation — less than half of the daily exposure. Undetected tooth decay, which can spread quickly through the softer inner layers of teeth, is considered much more dangerous!

If a bitewing x-ray shows that there is tooth decay, what happens next?
If the cavity is very small, we may be able to treat it during the same appointment. If not, we will make a separate appointment to make sure it is taken care of promptly. The sooner tooth decay is treated, the better!

What if I have more questions?
Contact our office, or schedule an appointment for a consultation.

By The Brace Place Orthodontics
June 14, 2018
Category: Dental Procedures

You’ve lived most of your life with crooked teeth and an imperfect smile. You feel you should have done something about it years ago, but now you’re approaching your golden years — what would be the point?

Here’s the point: there’s a growing trend of older adults undergoing orthodontic treatment. People are discovering the life-changing benefits of straightening their teeth — even if they’re no longer teenagers.

So, what’s really holding you back?

I’m too old to have my teeth straightened. Not true — teeth can be straightened at any age, not just during childhood or adolescence. If anything would prevent orthodontic treatment it would be the state of your oral and general health, not your age. Your teeth’s supporting bone must be reasonably sound and healthy; likewise, systemic problems like bleeding disorders, leukemia and uncontrolled diabetes can make orthodontics difficult. But if you and your mouth are reasonably healthy, you can have your teeth straightened.

It’s too much to spend just to look better. Yes, orthodontic treatment can transform your smile — but it can also improve your oral health. Misaligned teeth are harder to keep clean, increasing the risks for tooth decay and periodontal (gum) disease; they also don’t work well together so chewing is more difficult. By correcting your bite, you can reduce your chances of dental disease and improve overall mouth function.

I’d look silly at my age in braces. Self-consciousness about wearing these traditional appliances is common at any age. It’s understandable — the glint of metal is the first thing people see when you smile. But there’s a good chance you may be able to wear an alternative appliance that’s barely noticeable: clear aligners. These are a series of removable, clear plastic trays that you wear in sequence to gradually move your teeth. Not only are they less noticeable than braces, you can take them out for special occasions.

Don’t let these or other excuses keep you from a more attractive smile and healthy mouth. Visit your dentist for an examination to see if orthodontics can work for you.

If you would like more information on transforming your smile through orthodontics, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”

By The Brace Place Orthodontics
June 04, 2018
Category: Dental Procedures

When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.

"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."

Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!

“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”

Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.

Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.

Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.

Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.

If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”